Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02316 | Date 20/06/2019 |
| Token No | SM/22-23/14414 25/01/2024 | Serial | 012 |
| Patient Name | Mr. NOKUL BISWAL | Contact No | NOT GIVEN |
| Address | 45 N L BHATTACHARYA STREET | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||